NPIMap

Organization Active NPI

Pacific Autism Center for Education

  • Early Intervention Provider Agency
  • Santa Clara, CA
National Provider Identifier
1235438383
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
PACIFIC AUTISM CENTER FOR EDUCATION
Practice address
1880 Pruneridge Ave
Santa Clara, CA 95050-6514
Phone
(408) 245-3400
Fax
(408) 260-7267
NPI assigned
Mar 15, 2011
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Kennan
Title
Assistant Executive Director
Phone
(408) 245-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

1880 Pruneridge Ave
Santa Clara, CA 95050-6514

Mailing address

1880 Pruneridge Ave
Santa Clara, CA 95050-6514
Phone (408) 245-3400

National Provider Directory

National Provider Directory

Locations

897 Broadleaf Ln
San Jose, CA 95128
Phone (267) 806-8512

1880 Pruneridge Ave
Santa Clara, CA 95050
Phone (408) 245-3400

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1235438383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 PRUNERIDGE AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506514",
            "telephone_number": "408-245-3400",
            "fax_number": "408-260-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 PRUNERIDGE AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506514",
            "telephone_number": "408-245-3400",
            "fax_number": "408-260-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC AUTISM CENTER FOR EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "KENNAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-245-3400"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.